West Side Chiropractic and Wellness, PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

WEST SIDE CHIROPRACTIC AND WELLNESS, PLLC

Practice address

5787 Stadium Dr Ste B
Kalamazoo, MI 49009-1903

Phone

(269) 459-7180

Fax

(269) 215-2004

NPI assigned

Apr 17, 2023

Last updated

Aug 11, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lucas Conroy, DCNPI 1780108571

Title

Owner/Practitioner

Phone

(269) 459-7180

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lucas Conroy, DC

  • Chiropractor
  • Kalamazoo, MI
  • NPI 1780108571
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1681689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723334400000",
    "number": "1700572146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5787 STADIUM DR STE B",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490091903",
            "telephone_number": "269-459-7180",
            "fax_number": "269-215-2004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5787 STADIUM DR STE B",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490091903",
            "telephone_number": "269-459-7180",
            "fax_number": "269-215-2004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST SIDE CHIROPRACTIC AND WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-17",
        "last_updated": "2024-08-11",
        "certification_date": "2024-08-11",
        "status": "A",
        "authorized_official_last_name": "CONROY",
        "authorized_official_first_name": "LUCAS",
        "authorized_official_title_or_position": "OWNER/PRACTITIONER",
        "authorized_official_telephone_number": "269-459-7180",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Kalamazoo, MI
• Providers in Kalamazoo, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.